Micro-needling with RF - which is the best type?

As some have already stated there are several great machines which provide microneedling RF and while a device with desirable technology would be preferable, if in the hands of a less experienced provider results could vary greatly.  As always consultation with a board certified plastic surgeon is recommended.  kh

The best and cheapest way to do this procedure for pores, acne scars and better color and texture is to first do regular microneedling, perhaps add PRP (platelet rich plasma) and then use RF to activate the PRP. I use the Rejuva Pen for microneedling with pure spin PRP and get great results. Adding RF makes it better. I use either ThermiSmooth 250 or My Venus Versa RF system. Either way this is a great combo and adding PRP makes it so much better. Hope this was helpful. JB

Your question raises a very interesting and important point. The very fact that there are so many "bells and whistles" devices out there all claiming to be the "next big thing" to come along should give thoughtful consumers pause that perhaps none really work that well. Unfortunately, many of these relatively expensive, supposedly latest and greatest devices, be they fraxels, radiofrequency devices and ultrasound machines are far more backed by device manufacturer supported marketing hype than hard science. Unfortunately, without at least a few HD photos, it is impossible to respond to your question in any but the most general terms. If you are referring to mild laxity in the lower face around the mouth area and the beginnings of crepey, crinkly skin or very fine lines, then a simple couple of treatments with injectable skin boosters can help overall hydration, skin tautness, and skin quality, especially when these problems are early on. No skin boosters per se are currently available in the U.S., however, Restylane Silk does work quite well for this purpose and is what I use in my NY office. In my Israel satellite facility, where a far greater number of regulatory agency approved injectable products are available, I typically opt for Viscoderm Hydroboosters, Restylane Skin Boosters, and Juvederm Volift. A unique hyaluronic acid-based injectable product, Profhilo works well as a supplement to the above. Make sure that you consult with a board certified aesthetic physician and, once again, be sure to do your "due diligence" when evaluating claims for the expensive "bells and whistles." 

The  device is not as important as the physician who is performing the procedure. Having said that, there is only one device that has a long pulse greater than 1 second, Profound RF. Studies have shown that the longer pulse leads to increased collagen, hyaluronic acid and elastic fibers.Jeff Rapaport MD FAADRealself Verified All-star

I agree with previous answers. There are many good devices available today. The skill and experience of the operator is important when performing these procedures.  In our office we use the lutronic infini RF with very good results.  

Ideally a specialist will select a modality based upon examination. RF is highly user dependent, and ideally should not be the only device of choice given your clinical scenario. A real time assessment by someone trained in many devices, and techniques will be in your best interests.